| NPI | 1568998755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NV LPN16713) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 287491) |
| Enumeration Date | 2017-05-07 |
| Last Update Date | 2018-04-26 |